Penile Prosthesis
Introduction: The shah penile prosthesis is a solid silicone, semi rigid, flexible implant for the management of erectile dysfunction. The penile implant is used in pairs. The implants are placed within the corpora cavernosa imparting stiffness sufficient for intercourse. Unique features of the Shah Penile Prostheses are the presence of two removable sleeves to adjust the diameter (this helps minimize inventory) and availability of a 15mm diameter implant (which helps ensure a good fit in a large penis). The Shah Penile Prosthesis is available in 2 models: 1. With hinge 2. Without hinge. Shah penile Prosthesis with hinge has a flexible central area, which acts as a hinge. This allows the penis to be bent for concealment when not in use. Due to the hinge the penis would need support at the time of entry. Once inside the vagina, intercourse can proceed without any hindrance. Shah Penile Prosthesis without hinge is a semi rigid implant with uniform stiffness that is adequate for intercourse while being flexible enough to permit concealment. It can be trimmed from the proximal end so that a single implant can be adjusted to any penile length. It is easy to implant and most durable. It is better suited for shorter penises. Product description: With hinge: It is rod-shaped, solid silicone elastomer device. The tip is made of soft silicone. The distal one-third is made of firm silicone with a soft silicone covering. The middle 6-7cm is made of soft silicone to provide a hinge effect. Proximal one-third is slender and is made of medium hard silicone. This portion can be cut to adjust the total length of the implant. Without hinge: From tip to tip, it is made of one type of silicone elastomer. The proximal slender part can be trimmed to adjust the total length of the implant. It is available in two grades of firmness (hardness). The medium firm implant is called regular while the softer one is called soft. For high risk patients or difficult cases it is advisable to use the soft prostheses to minimize risk of extrusion. Rear tip caps: Three pairs of caps are supplied with each set of implants. These fit on the proximal end to facilitate adjustment of length. To fit and unusually long penis, the length can be further extended by 2.5cm using the extra large cap and by 3.5cm using the super large cap, available separately. Sleeves: Both types and all sizes of prostheses are covered with two sleeves of silicone elastomer which can be removed to adjust the diameter of the prosthesis. Presentation: each set of penile prostheses contains one pair of penile prostheses, three pairs of caps (0.5cm, 1cm and 1.5cm) and one plastic adapter (to help trimming of proximal part). These are supplied in double peel-open packaging, sterilized by Gamma-rays. Extra-large caps of 2.5cm and super-large caps of 3.5cm are available in pairs separately, in sterile peel packs. Reusable sizer (made of stainless steel) (code no. PI 11) is also manufactured by Surgiwear. In near future some more accessories such as and insertion tool and special retractor will also be available from Surgiwear. Indications: The Shah Penile Prostheses is indicated for the management of organic erectile impotence due to neurological or vascular causes. It may also be used for penile reconstruction and in cases of impotence due to penile fibrosis. Contraindications: The implantation of a penile prosthesis should be avoided in presence of infection anywhere in the body and especially if urinary tract or genital infection is present. Penile prosthesis implantation is also contraindiceated in patients with elevated residual urine due to bladder neck obstruction, prostatic enlargement or neurogenic bladder, or with stricture urethra requiring active management. In some cases of severe corporal fibrosis, it may not be possible to place the implant. Implantation should be avoided in poorly controlled diabetics. Selection of type of shah penile prosthesis: In most cases the Shah Penile Prosthesis with hinge gives the best results. For shorter penile lengths (stretched length
| Code No. | Suitable for external penile length (from symphysis pubis to middle of glans) | Max. total length with small cap | Max. total length with medium cap | Max. total length with large cap | Minimum total length with small cap | Maximum diameter as supplied | Diameter after removal of first sleeve | Diameter after removal of second sleeve |
|---|---|---|---|---|---|---|---|---|
| WH09 | 8-10cm | 19.5cm | 20cm | 20.5cm | 13.5cm | 13mm | 11mm | 9.5mm |
| WH11 | 10-12cm | 21.5cm | 22cm | 22.5cm | 15.5cm | 13mm | 11mm | 9.5mm |
| WH13 | 12-14cm | 22.5cm | 23cm | 23.5cm | 16.5cm | 15mm | 13mm | 11mm |
| WH15 | 14-16cm | 24.5cm | 25cm | 25.5cm | 18.5cm | 15mm | 13mm | 11mm |
Main Products:
silicone implantable devices, disposable drapes & dressings calcium hydroxyapatite (g-bone), (G-eye), fallopian tubal ring
